SynthesisHealth expectations : an international journal of public participation in health care and health policy2019
How older people enact care involvement during transition from hospital to home: A systematic review and model.
Synthesis in Health expectations : an international journal of public participation in health care and health policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Contextual factors influencing medicines-related interventions to support safe transitions for care home residents post hospital discharge: a systematic review and meta-ethnographic synthesis.International journal of clinical pharmacy · 2023Pooled it
- How older people enact care involvement during transition from hospital to home: A systematic review and model.Health expectations : an international journal of public participation in health care and health policy · 2019Pooled it
- Trial
- Understanding the challenges and successes of implementing 'hybrid' interventions in healthcare settings: findings from a process evaluation of a patient involvement trial.BMJ quality & safety · 2025Trial
- Adaptation Model for Patient and Caregiver Dyads in Hospital-to-Home Transition: Theory Development and Content Validation.Healthcare (Basel, Switzerland) · 2026Article
- How Do Older People Experience Hospital to Home Discharge? An Overview of Qualitative Reviews.International journal of older people nursing · 2026Review
- Older adults' experiences of hospital-to-home transitions in rural Sweden: a qualitative study.BMC geriatrics · 2025Article
- Rehabilitation, reablement, and restorative care approaches in the aged care sector: a scoping review of systematic reviews.BMC geriatrics · 2025Article
- Article
- Unpacking the Cinderella black box of complex intervention development through the Partners at Care Transitions (PACT) programme of research.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- A rapid review of interventions to improve medicine self-management for older people living at home.Health expectations : an international journal of public participation in health care and health policy · 2023Review
- Transitional care decision-making through the eyes of older people and informal caregivers: An in-depth interview-based study.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Involving patients and carers in patient safety in primary care: A qualitative study of a co-designed patient safety guide.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Demand and influencing factors of "Internet + Traditional Chinese Medicine" home nursing service for older adult patients with chronic diseases: a mixed research perspective.Frontiers in public health · 2023Article
- Effectiveness of hospital-to-home transitional care interventions and consultation for implementation in Sudan: a scoping review of systematic reviews.Frontiers in health services · 2023Article
- A qualitative formative evaluation of a patient facing intervention to improve care transitions for older people moving from hospital to home.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Assuring patient participation and care continuity in intermediate care: Getting the most out of family meetings using the four habits model.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Improving the safety and experience of transitions from hospital to home: a cluster randomised controlled feasibility trial of the 'Your Care Needs You' intervention versus usual care.Pilot and feasibility studies · 2022Article
- Dynamic interaction nursing intervention on functional rehabilitation and self-care ability of patients after aneurysm surgery.World journal of clinical cases · 2022Article
- Experiences and perspectives of older patients with a return visit to the emergency department within 30 days: patient journey mapping.European geriatric medicine · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundCurrent models of patient-enacted involvement do not capture the nuanced dynamic and interactional nature of involvement in care. This is important for the development of flexible interventions that can support patients to 'reach-in' to complex health-care systems.
objectiveTo develop a dynamic and interactional model of patient-enacted involvement in care. SEARCH STRATEGY: Electronic search strategy run in five databases and adapted to run in an Internet search engine supplemented with searching of reference lists and forward citations. INCLUSION CRITERIA: Qualitative empirical published reports of older people's experiences of care transitions from hospital to home. DATA EXTRACTION AND SYNTHESIS: Reported findings meeting our definition of involvement in care initially coded into an existing framework. Progression from deductive to inductive coding leads to the development of a new framework and thereafter a model representing changing states of involvement. MAIN
resultsPatients and caregivers occupy and move through multiple states of involvement in response to perceived interactions with health-care professionals as they attempt to resolve health- and well-being-related goals. 'Non-involvement', 'information-acting', 'challenging and chasing' and 'autonomous-acting' were the main states of involvement. Feeling uninvolved as a consequence of perceived exclusion leads patients to act autonomously, creating the potential to cause harm. DISCUSSION AND
conclusionThe model suggests that involvement is highly challenging for older people during care transitions. Going forward, interventions which seek to support patient involvement should attempt to address the dynamic states of involvement and their mediating factors.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.